| NPI | 1568874246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 13063) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-08-02 |